HEALTH CRE OF PATIENTS WITH INTESTINAL OSTOMY

Intestinalna stoma ( anus preter naturalis ), umjetni anus kirurškim je putem načinjen otvor na trbušnoj stjenki u koji se izvede segment crijeva. Intestinalne stome se dijele prema svrsi i mjestu izvođenja. Prema mjestu izvođenja imamo stome tankog crijeva i stome debelog crijeva. Prema svrsi imamo stome za hranjenje i stome za pražnjenje. Ovim radom je opisana prijeoperativna i postoperativna skrb bolesnika. Obuhvaćena je sama priprema bolesnika i upoznavanje sa zahvatom i izgledom stome u prijeoperativnoj pripremi. U postoperativnoj skrbi je obuhvaćena edukacija bolesnika da bi se olakšala bolesnikova prilagodba na život sa stomom. Istaknuta je uloga medicinske sestre u provođenju procesa zdravstvene njege, postavljanja točnih dijagnoza kao i provedba efikasnih intervencija da bi se uklonili bolesnikovi problemi vezani za stomu. Medicinska sestra ima veliku važnost u zdravstvenoj njezi bolesnika sa crijevnom stomom od preoperativne skrbi do potpunog oporavka i prilagodbe bolesnika na novi život. Uspješnu provedbu zdravstvene njege garantiraju joj kvalitetno postavljene dijagnoze i ciljevi.Intestinal stoma (anus preter naturalis), an artificial anus is surgically made through opening in the abdominal wall in which is segment hose. Intestinal stoma are divided according to the purpose and place of execution. According to the site performance we have a stoma of the small intestine and colon stoma. According to the purpose we have a stoma for feeding and stoma for discharge. This paper describes the preoperative and postoperative care of patients. Preoperative care includes preparing patients and getting to know the procedure and look of stoma. The post-operative care is covered by patient education in order to facilitate the patient's adjustment to life with a stoma. It covers implementation process of health care, setting accurate diagnosis as well as the implementation of effective interventions to eliminate problems related to the patient's stoma. The nurse has a great importance in the health care of patients with intestinal stoma from preoperative care to full recovery and adjustment of the patient to a new life. The successful implementation of health care quality is guaranteed by setting accurate diagnosis and performing effective interventions